Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science 2020)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2049820 Name: Sarthak Das
  Address: 58, M.G Road, Diamond City South T-1, flat no.-16G Near karunamoyee mandir
Telephone No.: Mobile no: 9836770465
E-mail: sarthak560@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 304545981
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049820 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
Date ________________ Date ________________
 

 

Please quote your dossier id and full name for any future correspondence
Please ensure that you send the following documents with your application.
  1. Write Application for Diploma in Nautical Science, Dossier ID on the envelope
  2. Print the application form duly filled
  3. Print the application summary duly signed where indicated
  4. Three identical recent passport size photographs with name & dossier id written at the back
  5. Self – attested copies of Class X marksheet and Pass Certificate
  6. Self – attested copies of Class XII marksheet and Pass Certificate (Candidates appearing for Class XII exam in 2020 may submit these copies after declaration of results)
  7. Self – attested copies of class XII marksheet downloaded from internet (Candidates appearing for Class XII exam in 2020 may submit these copies after declaration of results)
  8. Self – attested copies of school leaving certificate / transfer certificate (for proof of age)
  9. Self – attested copy of birth certificate (for proof of age and place of birth)
  10. Copies of sports and extra-curricular activities (Class VIII and above only)
  11. Copy of Class XII board exam admit card for those appearing in 2020
  12. A non-refundable Demand Draft of Rs. 200/- favouring “Tolani Maritime Institute” payable at Pune. Write your name, dossier id and contact details on the reverse of the Demand Draft (Kindly ignore if you have paid online)
  13. Please keep a copy of the form for your reference for communicating with the Institute

Send Duly filled application forms to:

Admissions Cell (DNS)
Tolani Maritime Institute
Talegaon-Chakan road, Induri,
Talegaon, Pune, Pin- 410507
Note: Please remember to login and fill in your 12th std PCM marks when they are published & IMUCET Application number in order to complete your application form.

Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science )

APPLICATION FOR ADMISSION - 2020

 
  Dossier ID: DNS2049820
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sarthak Das
Mother's Name: Sabita Das
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Jun 2000 Nationality: Indian
Place of Birth: Kolkata Personal Identification Mark: stitch mark under the right eyelid
Blood Group: B + Address for Communication: 58, M.G Road, Diamond City South T-1, flat no.-16G Near karunamoyee mandir
State: West Bengal Country: India
Pin: 700041 City/District: Kolkata
Mobile no: 9836770465 Telephone No. with STD code:
Aadhar Card No:989682344518 E-mail: sarthak560@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mohonish Das Relationship with candidate: Father
Parents Date of Birth: 22 Feb 1995 Parent's/Guardian's Occupation/Designation: VP with HDFC Bank
   
Office Address:
   
Address: HDFC BANK LTD, Gillander House Block D, Secind Floor, 8 N.S Road
Country: India State: West Bengal
City/District: Kolkata Pin: 700001
Tel: Mobile no.: 9339838458
Fax: Email: mohonish.das@hdfcbank.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: ISCE Board: ISCE
School: Sri Sri Academy School: The Heritage School
City: Kolkata City: Kolkata
English %: 88 Board Roll No./Seat No.: 6425792
Aggregate Percentage: 90 School/College Code: WB240
  Centre code: 2192293
  Address of School/College: 994,Chowbaga Road,Anandapur,East Kolkata Township
  Pin: 700107
  Contact Nos:
  Email: admin@theheritageschool.com
  Aggregate Percentage: 81
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 91 91
Chemistry 100 69 69
Mathematics 100 51 51
Physics, Chemistry & Mathematics combined Percentage: 70.33
English 100 87 87
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2020 basketball state 3rd
02/2012 guitar international 1st
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am currently pursuing B.tech in Marine Engineering at TMI. After spending almost 2 semesters I have realised that my true calling is towards the deck side.
Why do you wish to join TMI?: I have experienced first hand what TMI has to offer. Starting from the faculty to the facilities, everything is top notch.
What are your hobbies?: basketball,tt,volleyball,driving
What are your strengths?: Good communication skills, Practicality and determination
What are your weaknesses?: Fickle minded and impatient at times.
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate Class X marksheet School leaving certificate Class XII admit card Class XII marksheet
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form